CAROL ANN BOGDAN


Address: 2405 N Fraser St, Georgetown, SC 29440-7764
Phone: 8435457274

CAROL ANN BOGDAN (NPI# 1033102538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033102538
Entity Type Individual
Full Name CAROL ANN BOGDAN
Credential MD
Practice Address 2405 N Fraser St
Georgetown
SC 29440-7764
Mailing Address Po Box 1209
Murrells Inlet
SC 29576-1209
Practice Telephone 8435457274
Practice Fax Number 8435458315
Mailing Telephone 8436528220
Mailing Fax Number 8435277080
Enumeration Date 2005-08-30
Last Update Date 2014-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
27515 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 275152 05
NC 5900387 05

Office Location

Street Address 2405 N FRASER ST
City GEORGETOWN
State SC
Zip Code 29440-7764

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053304675 Georgetown Radiation Therapy Center Radiology 2405 N Fraser St, Georgetown, SC 29440-6410 2005-08-30
1629482435 Georgetown Physician Associates, LLC Internal Medicine 2405 N Fraser St, Georgetown, SC 29440 2014-06-19
1649548132 Waccamaw Oncology Physicians, LLC Internal Medicine 2405 N Fraser St, Georgetown, SC 29440-7764 2011-12-12
1639358310 Catherine Baker Burbage Internal Medicine 2405 N Fraser St, Georgetown, SC 29440-7764 2007-10-30
1043397391 Sara Elizabeth Adams Internal Medicine 2405 N Fraser St, Georgetown, SC 29440-7764 2006-11-01
1184712093 David Lee Milling Internal Medicine 2405 N Fraser St, Georgetown, SC 29440-7764 2006-10-10
1346258175 Sarah Allen Thurman Radiology 2405 N Fraser St, Georgetown, SC 29440-7764 2006-08-04
1649239989 Waccamaw Oncology, Pa Internal Medicine 2405 N Fraser St, Georgetown, SC 29440-6410 2006-03-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003288788 Bartou Wilson Pharmacist 513 Rosemont St, Georgetown, SC 29440 2015-10-21
1538557780 Sc Pain and Spine Specialist Pain Medicine 230 S Fraser Street, Georgetown, SC 29440 2014-12-22
1326393745 Rose Carpenzano Social Worker 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 2012-07-23
1942575451 Surgical Specialists of Waccamaw, LLC Surgery 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 2012-03-16
1619296654 Lisa Marie Holmes Durable Medical Equipment & Medical Supplies 1263 N. Frazer St., Georgetown, SC 29440 2010-05-28
1104156892 Georgetown Anesthesia Consultants, PC Anesthesiology 606 Blackriver Road, Georgetown, SC 29440 2010-01-04
1306018999 Heather Denise Sharpe Pharmacist 810 Elizabeth Street, Georgetown, SC 29440 2008-03-24
1083882054 Advanced Chiropractic Center Chiropractor 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 2008-02-13
1295922284 Georgetown Memorial Hospital Clinic/Center 2361 North Frasier Street, Georgetown, SC 29440 2007-10-03
1114110863 Thomas Clifford Rowland Jr. Obstetrics & Gynecology 74 Swan Point Trail, Georgetown, SC 29440 2007-08-24
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184712093 David Lee Milling Internal Medicine 2405 N Fraser St, Georgetown, SC 29440-7764 2006-10-10
1649239989 Waccamaw Oncology, Pa Internal Medicine 2405 N Fraser St, Georgetown, SC 29440-6410 2006-03-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508361809 Santee Oncology, LLC Internal Medicine 1105 N Lafayette Dr Ste A, Sumter, SC 29150-2984 2018-03-28
1689080129 Gregory Michael Haidemenos Internal Medicine 169 Ashley Ave # Msc322, Charleston, SC 29425-8908 2014-07-04
1558507848 Shelly Christiansen Shand Internal Medicine 2085 Henry Tecklenburg Dr Fl 2, Charleston, SC 29414 2008-12-17
1598922650 Xuezhong Yang Internal Medicine 317 Saint Francis Dr Ste 340, Greenville, SC 29601-3914 2008-05-16
1891817656 Carolina Cancer Specialists Internal Medicine 225 S Herlong Ave, Suite 201, Rock Hill, SC 29732-2730 2007-04-04
1730200031 Niyati Anand Nathwani Internal Medicine 902 W Meeting St, Lancaster, SC 29720-6219 2007-04-03
1770601734 Ziad Georges Skaff Internal Medicine 8950 University Blvd Ste 100, North Charleston, SC 29406-9115 2007-03-27
1407947757 Asutosh S Gor Internal Medicine 1583 Healthcare Drive, Rock Hill, SC 29732 2006-09-28
1821192949 Sitki M Ergul Internal Medicine 111 Miracle Drive, Aiken, SC 29801 2006-09-11
1295742294 Palmetto Hematology Oncology PC Internal Medicine 406 Tiffany Park, Suites A & B, Gaffney, SC 29341-1262 2006-08-02
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Competitor

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City GEORGETOWN
Zip Code 29440

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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